“…Additionally, depending on the cultural norms, patients of different ethnic groups will be more or less verbally expressive about their pain (Rutledge & Caple, 2011). Therefore, pain assessment requires monitoring for changes in behaviors (physical, emotional, cognitive), expression, and posture as well as listening for verbal cues (Czarnecki et al, 2011;Polomano et al, 2008;Rutledge & Caple, 2011).…”